DR. ANTONELLO PODDA (MD) – Pediatric Hematology & Oncology Physician, NPI 1467480772

DR. ANTONELLO PODDA (MD) is a healthcare provider. based in Miami, Florida. specializing in Pediatric Hematology & Oncology Physician. They hold the professional credentials MD. They hold a License No. ME89096 (FL). The NPI Number for DR. ANTONELLO PODDA (MD) is 1467480772

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTONELLO PODDA (MD)
NPI
1467480772
Phone
(305) 243-4029
Address
1601 NW 12TH AVE
Enumeration Date
28 June 2006
Last Update Date
24 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
2567458003
Group Practice PAC ID
3274795109
Professional Enrollment ID
I20040421001206
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ANTONELLO PODDA (MD)

  • 1601, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    BOX 016960 M851

    MIAMI, FL 331016960

    Phone: (305) 243-4029

    Fax: (305) 243-8470

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040421001206IPediatric MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274795109View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. ANTONELLO PODDA (MD)?
For DR. ANTONELLO PODDA (MD), use NPI 1467480772 as the unique 10-digit identifier.
Is there an active status for DR. ANTONELLO PODDA (MD)?
For scheduling context, DR. ANTONELLO PODDA (MD) is shown as active in the registry.
What kind of doctor is DR. ANTONELLO PODDA (MD)?
DR. ANTONELLO PODDA (MD) is associated with Pediatric Hematology & Oncology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. ANTONELLO PODDA (MD)?
Travel planning: use Miami, Florida as the reference point for DR. ANTONELLO PODDA (MD), then confirm.
Does DR. ANTONELLO PODDA (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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